Chronic Disease Management

Chronic disease is on the rise.

Compared to previous generations, Australians are living longer. This is due to improved living standards and advances in medical treatment and technology.

CDM Team

However, increased longevity has led to significant increases in chronic disease. Reports suggest up to 50% of Australians suffer from at least one chronic disease – and this figure is expected to rise.

If chronic disease is not managed properly, it has a detrimental effect on your physical, emotional and economic health and well-being.

Early detection can make a difference

The good news is, that early detection and effective treatment, management and support of a chronic disease may:

  • prevent the onset (it is estimated that up to one-third of chronic disease cases are preventable)
  • lessen the severity
  • delay the progression/minimise complications
  • improve quality of life

How do I know if I have a chronic disease?

Put simply, chronic disease refers to any long-lasting condition (of at least 3-6 months duration) with persistent effects.
Examples of the most common forms of chronic disease include:
  • arthritis
  • asthma
  • back pain
  • cancer
  • cardiovascular disease (e.g. coronary heart disease/ stroke – heart health)
  • chronic kidney disease
  • chronic obstructive pulmonary disease
  • diabetes
  • gastro-intestinal conditions (e.g. Coeliac disease, reflux, Chron’s disease)
  • mental health conditions (e.g. depression, anxiety)
  • obesity

How our practice can help.


Our Practice has established a Chronic Diseases Management (CDM) team with specialist skills in the early detection and diagnosis of chronic disease and its ongoing management and treatment.
The team’s aim is to:
  • provide assistance, support and encouragement if you are suffering from a chronic condition
  • assess and routinely monitor your health (in conjunction with your doctor) to aid early detection/prevention/optimal treatment of your condition
  • provide you with practical advice/information/education on how to manage your condition as effectively as possible
  • assist with gaining access to government-funded plans and programs where eligible
  • assist with referrals to allied health professionals that will compliment your care
  • ensure your medical history remains current and up to date.

Meet our specialist team

Our specialist CDM Team consists of nurses and our consultant pharmacist. The team is qualified in this area of practice to support you to improve your wellbeing and optimise your health.

Our team includes:

Chronic Disease Management Team (CDM Team)

CDM Team - Healthy Lifestyle

CDM services and support

Care Plans & Team Care Arrangements

The team maps out and helps you access rebated allied health services to effectively manage your condition over a 12-month period.

Diabetes Care

The team monitors your diabetes in conjunction with your doctor, provides support and helps you access rebated services.

Health Assessments

The team works in conjunction with our independent doctors to assess your health at key life stages. This can include the following government-funded health assessments:

Home Medicine Reviews

Our fully qualified consultant pharmacist will assess your medicines. They will help you fully understand each medicine and will report back to your doctor to make sure you are receiving the most effective treatment.

Book an appointment with the CDM Team

Speak to your doctor or our friendly receptionists about making an appointment with the CDM team.
Please note, eligibility criteria might apply. Our reception team may need to consult with your doctor before finalising an appointment booking.


When was your last check-up?

Regular visits with the CDM Team or your doctor will help to make sure any health issues don’t go undiscovered.




When was your last check-up?

With modern, busy lifestyles, it’s easy to neglect your health as you try to put everyone else’s needs first. Regular visits with the CDM Team or your doctor will help to make sure any health issues don’t go undiscovered.

David Hall